3/23/25, 8:14 NCLEX - Pediatrics Gastrointestinal Flashcards |
AM
NCLEX - PEDIATRICS GASTROINTESTINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (49)
A mother of an infant diagnosed with 2.It is a congenital aganglionosis or megacolon.
Hirschsprung's disease asks the nurse
about the disorder. The nurse plans to base Hirschsprung's disease, also known as "congenital aganglionosis" or "megacolon,"
the response on which information? is the result of an absence of ganglion cells in the rectum and to varying
degrees
1. It is a complete small upward in the colon. Options 1, 3, and 4 are incorrect.
intestinal obstruction.
2. It is a congenital
aganglionosis or megacolon.
3. It is a severe
inflammation of the
gastrointestinal tract.
4. It is a condition that causes
the pyloric valve to remain open.
An infant returns to the nursing unit 1.Elevated
following surgery for an esophageal atresia
with tracheoesophageal fistula (TEF). In the immediate postoperative period, the gastrostomy tube is elevated, allowing
The infant is receiving intravenous (IV) gastric contents to pass to the small intestine and air to escape. This promotes
fluids, comfort and decreases the risk of leakage at the anastomosis. Options 2, 3, and 4
and a gastrostomy tube is in place. The are incorrect
nurse assisting in caring for the infant
should ensure that which action is done to
the gastrostomy tube?
1. Elevated
2. Placed to gravity
3. Attached to low suction
4. Taped to the bed linens
The nurse prepares to administer a 2.Applesauce
pancreatic enzyme powder to the
child with cystic fibrosis (CF). Which Pancreatic enzyme powders are not to be mixed with hot foods or foods containing
food item tapioca or other starches. Enzyme powder should be mixed with nonfat, nonprotein
should the nurse mix with the medication? foods such as applesauce. Pancreatic enzymes are inactivated by heat and are
partially degraded by gastric acids.
1. Tapioca
2. Applesauce
3. Hot oatmeal
4. Mashed potatoes
The nurse is reviewing the record of a child 2.Projectile vomiting
with a diagnosis of pyloric stenosis. Which
data should the nurse expect to note as Signs and symptoms of pyloric stenosis include projectile, nonbilious vomiting;
having been documented in the child's irritability; hunger and crying; constipation; and signs of dehydration, including a
record? decrease in urine output.
1. Watery diarrhea
2. Projectile vomiting
3. Increased urine output
4. Vomiting large amounts of bile
1/16
,3/23/25, 8:14 NCLEX - Pediatrics Gastrointestinal Flashcards |
AM
The nurse is reinforcing instructions to the 3."We will provide comfort measures to reduce any crying periods by our child."
parents of a child with a hernia regarding
measures that will promote reducing the A warm bath and comfort measures to reduce crying periods are all simple
hernia. The nurse determines that the measures to promote reducing a hernia. Coughing and crying increase the strain on
parents understand these measures if they the hernia. Likewise, physical activities and enemas of any type would increase the
make which statement? strain on the hernia.
."We will encourage our child to cough
every few hours on a daily basis."
2. "We will make sure that our child
participates in physical activity every day."
3. "We will provide comfort
measures to reduce any crying periods
by our child."
4. "We will be sure to give our
child a Fleet enema every day to prevent
constipation."
The nurse is checking the status of jaundice 1.The mucous membranes
in a child with hepatitis. Which location
should the nurse check to ascertain if the Jaundice, if present, is best checked in the sclera, nail beds, and mucous membranes.
child is jaundiced? Generalized jaundice will appear in the skin throughout the body. Option 4 is not an
appropriate assessment area for the presence of jaundice.
1. The mucous membranes
2. The skin in the sacral area
3. The skin in the abdominal area
4. The membranes in the ear canal
The nurse is monitoring a newborn with 3.The passage of currant jelly–like stool
a suspected diagnosis of imperforate
anus. Which assessment finding is During the newborn assessment, imperforate anus should be easily identified
unassociated with this diagnosis? visually. However, a rectal thermometer or tube may be necessary to determine
patency if meconium is not passed in the first 24 hours after birth. The presence of
1. The presence of stool in the urine stool in the urine or vagina should be reported immediately as an indication of
2. Failure to pass a rectal abnormal anorectal development. Currant jelly–like stool is not a symptom of this
thermometer disorder.
3. The passage of currant jelly–like
stool
4. Failure to pass meconium in
the first 24 hours after birth
The nurse is caring for an infant with a 1. Fever
diagnosis of Hirschsprung's disease. The 2. Constipation
nurse should check for which clinical 3. Failure to thrive
findings that are consistent with 5. Abdominal distention
Hirschsprung's disease? Select all that 6. Explosive, watery diarrhea
apply.
Clinical symptoms of Hirschsprung's disease during infancy include failure to
1. Fever thrive, constipation, abdominal distention, episodes of diarrhea and vomiting, signs
2. Constipation of
3. Failure to thrive enterocolitis, explosive and watery diarrhea, and fever. The infant
4. Intolerance to wheat appears significantly ill. Intolerance to wheat occurs in celiac disease.
5. Abdominal distention
6. Explosive, watery diarrhea
A 2-year-old child is diagnosed 3.The infrequent and difficult passage of dry stools
with constipation due to encopresis.
Which description is a Constipation can affect any child at any time, although its incidence peaks at ages
characteristic of this 2 to 3 years. Option 3 describes encopresis, which can develop as a result of
disorder? constipation and is one of the major concerns regarding constipation. Encopresis
2/16
, 3/23/25, 8:14 NCLEX - Pediatrics Gastrointestinal Flashcards |
AM
generally affects preschool and school-age children. Option 1 is not associated with
1. Anorexia in the evening encopresis. Option 2 describes imperforate anus, which is diagnosed in the neonatal
2. Incomplete development of the period. Option 4 describes intussusception, which is the most common cause of
anus bowel obstruction in children ages 3 months to 6 years.
3. The infrequent and difficult
passage of dry stools
4. Invagination of a section of the
intestine
into the distal bowel
The nurse is monitoring for fluid volume 2.Each gram of diaper weight is equivalent to 1 mL of urine.
deficit in an infant who is vomiting and
having diarrhea. The nurse weighs the When monitoring for fluid volume deficit, the nurse should weigh the infant's
infant's diaper after each voiding and stool diaper after each voiding and stool. Each gram of diaper weight is equivalent to
and carefully calculates fluid volume based 1 mL of urine. Therefore, options 1, 3, and 4 are incorrect.
on which knowledge?
1. Each gram of diaper weight is
equivalent to 0.5 mL of urine.
2. Each gram of diaper weight is
equivalent to 1 mL of urine.
3. Each gram of diaper weight is
equivalent to 2 mL of urine.
4. Each gram of diaper weight is
equivalent to 2.5 mL of urine.
A mother of a child with a diagnosis of 1.Fever
intussusception calls the nurse into the 3.Increased heart rate
hospital room because the child is 6.Change in the level of consciousness
screaming in pain. Which manifestations of
perforation should the nurse report The child with intussusception classically presents with severe abdominal pain that
immediately? Select all that apply. is crampy and intermittent and that causes the child to draw in his or her knees to
the chest. The signs of perforation and shock are evidenced by fever, an increased
1. Fever heart rate, a change in the level of consciousness or blood pressure, and
2. Ribbon-like stools respiratory
3. Increased heart rate distress and need to be reported immediately. The options for hypoactive bowel
4. Hypoactive bowel sounds sounds, profuse projectile vomiting, and ribbon-like stools are a part of the
5. Profuse projectile vomiting presentation picture of a child with intussusception but are not signs of shock.
6. Change in the level of
consciousness
The nurse is monitoring for signs of 1.Rectal
dehydration in a 1-year-old child who
has been hospitalized for diarrhea Rectal temperature measurements should be avoided if diarrhea is present. The use
and of a rectal thermometer can stimulate peristalsis and cause more diarrhea. Axillary
prepares to take the child's temperature. or tympanic measurements of temperature would be acceptable. Most
Which method of temperature measurements
measurement should be avoided? are performed via electronic devices.
1. Rectal
2. A
xillary
3.Electronic
4.Tympanic
3/16
AM
NCLEX - PEDIATRICS GASTROINTESTINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (49)
A mother of an infant diagnosed with 2.It is a congenital aganglionosis or megacolon.
Hirschsprung's disease asks the nurse
about the disorder. The nurse plans to base Hirschsprung's disease, also known as "congenital aganglionosis" or "megacolon,"
the response on which information? is the result of an absence of ganglion cells in the rectum and to varying
degrees
1. It is a complete small upward in the colon. Options 1, 3, and 4 are incorrect.
intestinal obstruction.
2. It is a congenital
aganglionosis or megacolon.
3. It is a severe
inflammation of the
gastrointestinal tract.
4. It is a condition that causes
the pyloric valve to remain open.
An infant returns to the nursing unit 1.Elevated
following surgery for an esophageal atresia
with tracheoesophageal fistula (TEF). In the immediate postoperative period, the gastrostomy tube is elevated, allowing
The infant is receiving intravenous (IV) gastric contents to pass to the small intestine and air to escape. This promotes
fluids, comfort and decreases the risk of leakage at the anastomosis. Options 2, 3, and 4
and a gastrostomy tube is in place. The are incorrect
nurse assisting in caring for the infant
should ensure that which action is done to
the gastrostomy tube?
1. Elevated
2. Placed to gravity
3. Attached to low suction
4. Taped to the bed linens
The nurse prepares to administer a 2.Applesauce
pancreatic enzyme powder to the
child with cystic fibrosis (CF). Which Pancreatic enzyme powders are not to be mixed with hot foods or foods containing
food item tapioca or other starches. Enzyme powder should be mixed with nonfat, nonprotein
should the nurse mix with the medication? foods such as applesauce. Pancreatic enzymes are inactivated by heat and are
partially degraded by gastric acids.
1. Tapioca
2. Applesauce
3. Hot oatmeal
4. Mashed potatoes
The nurse is reviewing the record of a child 2.Projectile vomiting
with a diagnosis of pyloric stenosis. Which
data should the nurse expect to note as Signs and symptoms of pyloric stenosis include projectile, nonbilious vomiting;
having been documented in the child's irritability; hunger and crying; constipation; and signs of dehydration, including a
record? decrease in urine output.
1. Watery diarrhea
2. Projectile vomiting
3. Increased urine output
4. Vomiting large amounts of bile
1/16
,3/23/25, 8:14 NCLEX - Pediatrics Gastrointestinal Flashcards |
AM
The nurse is reinforcing instructions to the 3."We will provide comfort measures to reduce any crying periods by our child."
parents of a child with a hernia regarding
measures that will promote reducing the A warm bath and comfort measures to reduce crying periods are all simple
hernia. The nurse determines that the measures to promote reducing a hernia. Coughing and crying increase the strain on
parents understand these measures if they the hernia. Likewise, physical activities and enemas of any type would increase the
make which statement? strain on the hernia.
."We will encourage our child to cough
every few hours on a daily basis."
2. "We will make sure that our child
participates in physical activity every day."
3. "We will provide comfort
measures to reduce any crying periods
by our child."
4. "We will be sure to give our
child a Fleet enema every day to prevent
constipation."
The nurse is checking the status of jaundice 1.The mucous membranes
in a child with hepatitis. Which location
should the nurse check to ascertain if the Jaundice, if present, is best checked in the sclera, nail beds, and mucous membranes.
child is jaundiced? Generalized jaundice will appear in the skin throughout the body. Option 4 is not an
appropriate assessment area for the presence of jaundice.
1. The mucous membranes
2. The skin in the sacral area
3. The skin in the abdominal area
4. The membranes in the ear canal
The nurse is monitoring a newborn with 3.The passage of currant jelly–like stool
a suspected diagnosis of imperforate
anus. Which assessment finding is During the newborn assessment, imperforate anus should be easily identified
unassociated with this diagnosis? visually. However, a rectal thermometer or tube may be necessary to determine
patency if meconium is not passed in the first 24 hours after birth. The presence of
1. The presence of stool in the urine stool in the urine or vagina should be reported immediately as an indication of
2. Failure to pass a rectal abnormal anorectal development. Currant jelly–like stool is not a symptom of this
thermometer disorder.
3. The passage of currant jelly–like
stool
4. Failure to pass meconium in
the first 24 hours after birth
The nurse is caring for an infant with a 1. Fever
diagnosis of Hirschsprung's disease. The 2. Constipation
nurse should check for which clinical 3. Failure to thrive
findings that are consistent with 5. Abdominal distention
Hirschsprung's disease? Select all that 6. Explosive, watery diarrhea
apply.
Clinical symptoms of Hirschsprung's disease during infancy include failure to
1. Fever thrive, constipation, abdominal distention, episodes of diarrhea and vomiting, signs
2. Constipation of
3. Failure to thrive enterocolitis, explosive and watery diarrhea, and fever. The infant
4. Intolerance to wheat appears significantly ill. Intolerance to wheat occurs in celiac disease.
5. Abdominal distention
6. Explosive, watery diarrhea
A 2-year-old child is diagnosed 3.The infrequent and difficult passage of dry stools
with constipation due to encopresis.
Which description is a Constipation can affect any child at any time, although its incidence peaks at ages
characteristic of this 2 to 3 years. Option 3 describes encopresis, which can develop as a result of
disorder? constipation and is one of the major concerns regarding constipation. Encopresis
2/16
, 3/23/25, 8:14 NCLEX - Pediatrics Gastrointestinal Flashcards |
AM
generally affects preschool and school-age children. Option 1 is not associated with
1. Anorexia in the evening encopresis. Option 2 describes imperforate anus, which is diagnosed in the neonatal
2. Incomplete development of the period. Option 4 describes intussusception, which is the most common cause of
anus bowel obstruction in children ages 3 months to 6 years.
3. The infrequent and difficult
passage of dry stools
4. Invagination of a section of the
intestine
into the distal bowel
The nurse is monitoring for fluid volume 2.Each gram of diaper weight is equivalent to 1 mL of urine.
deficit in an infant who is vomiting and
having diarrhea. The nurse weighs the When monitoring for fluid volume deficit, the nurse should weigh the infant's
infant's diaper after each voiding and stool diaper after each voiding and stool. Each gram of diaper weight is equivalent to
and carefully calculates fluid volume based 1 mL of urine. Therefore, options 1, 3, and 4 are incorrect.
on which knowledge?
1. Each gram of diaper weight is
equivalent to 0.5 mL of urine.
2. Each gram of diaper weight is
equivalent to 1 mL of urine.
3. Each gram of diaper weight is
equivalent to 2 mL of urine.
4. Each gram of diaper weight is
equivalent to 2.5 mL of urine.
A mother of a child with a diagnosis of 1.Fever
intussusception calls the nurse into the 3.Increased heart rate
hospital room because the child is 6.Change in the level of consciousness
screaming in pain. Which manifestations of
perforation should the nurse report The child with intussusception classically presents with severe abdominal pain that
immediately? Select all that apply. is crampy and intermittent and that causes the child to draw in his or her knees to
the chest. The signs of perforation and shock are evidenced by fever, an increased
1. Fever heart rate, a change in the level of consciousness or blood pressure, and
2. Ribbon-like stools respiratory
3. Increased heart rate distress and need to be reported immediately. The options for hypoactive bowel
4. Hypoactive bowel sounds sounds, profuse projectile vomiting, and ribbon-like stools are a part of the
5. Profuse projectile vomiting presentation picture of a child with intussusception but are not signs of shock.
6. Change in the level of
consciousness
The nurse is monitoring for signs of 1.Rectal
dehydration in a 1-year-old child who
has been hospitalized for diarrhea Rectal temperature measurements should be avoided if diarrhea is present. The use
and of a rectal thermometer can stimulate peristalsis and cause more diarrhea. Axillary
prepares to take the child's temperature. or tympanic measurements of temperature would be acceptable. Most
Which method of temperature measurements
measurement should be avoided? are performed via electronic devices.
1. Rectal
2. A
xillary
3.Electronic
4.Tympanic
3/16
